Hollywood Optometrist

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HOLLYWOOD OPTOMETRIST

Practice address

2105 Beverly Blvd Ste 117
Los Angeles, CA 90057-2254

Phone

(323) 667-2102

Fax

(323) 927-1799

NPI assigned

Jun 19, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shermin Lahijani, ODNPI 1891764833

Title

Owner

Phone

(323) 667-2102

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Hollywood Optometrist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hollywood Optometrist

  • Optometrist
  • Los Angeles, CA
  • NPI 1841837242
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shermin Lahijani, O.D.

  • Optometrist
  • Los Angeles, CA
  • NPI 1891764833
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1942826581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD STE 117",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572254",
            "telephone_number": "323-667-2102",
            "fax_number": "323-927-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD STE 117",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572254",
            "telephone_number": "323-667-2102",
            "fax_number": "323-927-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD OPTOMETRIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "LAHIJANI",
        "authorized_official_first_name": "SHERMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-667-2102",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0123190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hollywood Medical Rehabilitation Care, Inc.
• Hollywood Menta Health Center
• Hollywood Mental Health Center
• Hollywood Mental Health Collaborative, Inc
• Hollywood Optometrist
• Hollywood Pathology Medical Group
• Hollywood Physical Therapy
• Hollywood Premium Home Care, Inc.
• Hollywood Presbyterian Emergency Medical Associates, Inc.
• Hollywood Prime Care Medical Center

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.